PRECIPITATING FACTORS:

PREDISPOSING FACTORS:
Diet
Family History
Obesity
Female
Rapid weight loss
Middle age
Use of oral contraceptives
Gallbladder, pancreatic or ileal disease
Low HDL cholesterol level
Hypertriglyceridemia

MRI RESULTS:

1. Dilated cystic side branches in direct

communication with pancreatic duct in the
region of uncinate process for which an IPMT
should be excluded

2. Multiple gallstones

3. Left renal cysts with wall calcifications

4. Tiny right renal corticocysts

5. Ascending and descending diverticula

CHOLELITHIASIS

Gallstones in the Bile duct

Increased Bile Cholesterol

Precipitate out of the bile

Irritation of Gallbladder
mucosa
Forms small crystals into
Gallbladder’s mucosal surface

Surface Changes

Enlarges to grossly visible stones

Increased Mucus Secretion

Several stones develop

Impaired Gallbladder
emptying
 Obstruction Bile Stasis
Contractile
function

Distension Intraductal RUQ Injury Bile Increase Abnormal

Pressure Pain accumulates Serum Fat
in Liver Bilirubin Digestion

Prorates/Tea Anorexia
Biliary -collared Nausea
Colic Jaundice Biliary Urine Vomiting
Cirrhosis Weight loss
Flatulence
Diarrhea
Fat
intolerance

Inflammation of
Gallbladder
Cholecystitis

Inflammat
Gallblad